| LCA CASE NUMBER | I-200-19330-168466 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-11-26 |
| DECISION DATE | 2019-12-04 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Resident, GME Interventional Radiology |
| SOC CODE | 29-9099.00 |
| SOC TITLE | Healthcare Practitioners and Technical Workers, All Other |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-05-15 |
| END DATE | 2022-07-09 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Mary Hitchcock Memorial Hospital |
| EMPLOYER ADDRESS1 | One Medical Center Drive |
| EMPLOYER CITY | Lebanon |
| EMPLOYER STATE | NH |
| EMPLOYER POSTAL CODE | 03756 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | +16036530436 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Kull |
| EMPLOYER POC FIRST NAME | Kathryn |
| EMPLOYER POC MIDDLE NAME | L |
| EMPLOYER POC JOB TITLE | Sr. Immigration Specialist |
| EMPLOYER POC ADDRESS1 | One Medical Center Drive |
| EMPLOYER POC CITY | Lebanon |
| EMPLOYER POC STATE | NH |
| EMPLOYER POC POSTAL CODE | 03756 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +16036530436 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Novak |
| AGENT ATTORNEY FIRST NAME | Francis |
| AGENT ATTORNEY MIDDLE NAME | A |
| AGENT ATTORNEY ADDRESS1 | 1600 Bausch & Lomb Place |
| AGENT ATTORNEY CITY | Rochester |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 14604 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15852311406.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Harter Secrest & Emery LLP |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | New York Court of Appeals |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | One Medical Center Drive |
| LCA CASE WORKLOC1 CITY | Lebanon |
| WORKSITE COUNTY | LEBANON CITY |
| LCA CASE WORKLOC1 STATE | NH |
| WORKSITE POSTAL CODE | 03756 |
| LCA CASE WAGE RATE FROM | 48256.0 |
| LCA CASE WAGE RATE TO | 68256.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 48256.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Employment |
| PREPARER BUSINESS NAME | Not applicable |
